Gusto
paid
$49/month
Free trial
Accounting & Tax · Comparison
QuickBooks Online
Gusto
Gusto vs QuickBooks Online for therapists
Auto-generated from listing data
At a glance
The differences that matter
Side-by-side facts. Rows where the two tools differ meaningfully are highlighted.
| Feature | Gusto | |
|---|---|---|
| Pricing from | $49 / mo | $19 / mo |
| Pricing modelSame | paid | paid |
| HIPAASame | Not listed | Not listed |
| Free trialSame | Yes | Yes |
| Target users |
|
|
| Key features |
|
|
| Integrations |
|
|
Gusto
- Pricing from
- $49 / mo
- Pricing model
- paid
- HIPAA
- Not listed
- Free trial
- Yes
- Target users
- Group practices with employees
- Practices paying 1099 associates
- Solo therapists making their first hire
- Key features
- Automated payroll runs
- Federal/state/local tax filing
- Direct deposit
- Benefits administration
- Integrations
- FreshBooks
- Xero
- QuickBooks
- Heard
- Many accounting tools
QuickBooks Online
- Pricing from
- $19 / mo
- Pricing model
- paid
- HIPAA
- Not listed
- Free trial
- Yes
- Target users
- DIY therapists
- Practitioners with bookkeeping experience
- Cost-conscious solo practices
- Key features
- DIY bookkeeping
- Expense tracking
- Invoicing
- Tax-ready reports
- Integrations
- Bank accounts (most major)
- Stripe, Square
- Many therapy EHRs (export)
Pricing
What you actually pay
Starting prices and what they include. The cheaper tool is not always the better value.
QuickBooks Online
paid
$19/month
Free trial$30/mo less than the other
Honest assessment
Where each tool wins and loses
Based on hands-on testing. Both tools have real weaknesses worth knowing before you commit.
Gusto
What works well
- Easy, reliable payroll and tax filing
- Handles W-2 and 1099
- Benefits and HR add-ons
- Integrates with major accounting tools
Where it falls short
- Monthly base fee plus per-person cost
- Not therapy-specific
- Overkill for a solo with no employees
- Benefits features vary by state
QuickBooks Online
What works well
- Industry standard
- Lower cost than full-service
- Wide integration support
Where it falls short
- DIY required (time investment)
- Not therapy-specific
- Tax filing not included
Take it for a spin
Try them
Both tools offer free trials. The fastest way to confirm a fit is to run one real session through each.
Payroll, benefits, and contractor payments for group therapy practices.
Try Gusto
From $49/moFree trial
Visit GustoDIY accounting software — the incumbent for small businesses.
Try QuickBooks Online
From $19/moFree trial
Visit QuickBooks OnlineAbout this comparison
This comparison is auto-generated from verified vendor data. We compile pricing, features, and integrations from each vendor's own documentation. For editorial comparisons with hands-on testing, see our editorially reviewed comparisons.
Auto-generatedWe may earn a flat referral fee if you sign up through links on this page. It is the same for every tool in a category, so it never affects our recommendations.
Some listings on Mytherapist Tools are paid placements, clearly labeled. Paid placement does not buy editorial recommendation. Our top picks are chosen on merit.